Organization
AEG PENNSYLVANIA PROFESSIONAL, INC
Active
Other names
Olympus Vision
Organization subpart
No
Provider details
NPI number
Authorized official
BENJAMIN CHUDNER (OWNER)
(314) 741-4947
Entity
Organization
Contact information
Practice address
1560 GARRETT RD STE F, UPPER DARBY, PA 19082-4516
(610) 951-6223
Mailing address
111 E 4TH ST STE 440, ALTON, IL 62002-6206
(618) 462-9818
(314) 741-4947
Taxonomy
Speciality
Code
Description
License number
State
152W00000X
Optometrist
Primary
—
—
Other
Enumeration date
11/13/2023
Last updated
11/13/2023
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